| Eagle Family Medicine @ Brassfield | |
|
3800 Robert Porcher Way Suite 200 Greensboro NC 27410-2190 | |
| (336) 282-0376 | |
| (336) 282-0379 |
| Full Name | Eagle Family Medicine @ Brassfield |
|---|---|
| Speciality | Family Medicine |
| Location | 3800 Robert Porcher Way, Greensboro, North Carolina |
| Authorized Official Name and Position | Terri S. Jones (DIRECTOR, EAGLE BUSINESS SERVICES) |
| Authorized Official Contact | 3362683201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Family Medicine @ Brassfield Po Box 14883 Greensboro NC 27415-4883 Ph: (336) 282-0376 | Eagle Family Medicine @ Brassfield 3800 Robert Porcher Way Suite 200 Greensboro NC 27410-2190 Ph: (336) 282-0376 |
| NPI Number | 1710073606 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 09/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710073606 | NPI | - | NPPES |
| 0287U | Other | NC | BCBS OF NC |
| 890287U | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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